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00 M 1534 Willow Pass Road,Pittsburg,CA 94565-1701Cpbll Analytical, I <br /> Toll Free Telephone:(877)252-9262/Fax:(925)252-9269 <br /> "When Quality Counts" http://www.mccampbell.com/E-mail:main@mccampbell.com <br /> Sample Receipt Checklist <br /> Client Name: GHD Services, Inc. Date and Time Received 10/17/2019 16:00 <br /> Project: 11202858-07.11;Chevron 372736 UDC Removal Date Logged: 10/17/2019 <br /> Received by: Tina Perez <br /> WorkOrder Ns: 1910845 Matrix: Soil Logged by: Nancy Palacios <br /> Carrier: Client Drop-In <br /> Chain of Custody(COC)Information <br /> Chain of custody present? Yes No❑ <br /> Chain of custody signed when relinquished and received? Yes No❑ <br /> Chain of custody agrees with sample labels? Yes No❑ <br /> Sample IDs noted by Client on COC? Yes ❑d No❑ <br /> Date and Time of collection noted by Client on COC? Yes ❑d No❑ <br /> Sampler's name noted on COC? Yes ❑d No❑ <br /> COC agrees with Quote? Yes ❑ No❑ NA ❑� <br /> Sample Receipt Information <br /> Custody seals intact on shipping container/cooler? Yes ❑ No U NA U <br /> Shipping container/cooler in good condition? Yes No U <br /> Samples in proper containers/bottles? Yes ❑4 No❑ <br /> Sample containers intact? Yes ❑4 No❑ <br /> Sufficient sample volume for indicated test? Yes ❑4 No❑ <br /> Sample Preservation and Hold Time(HT)Information <br /> All samples received within holding time? Yes ❑d No❑ NA❑ <br /> Samples Received on lee? Yes ❑d No❑ <br /> (Ice Type: WET ICE ) <br /> Sample/Temp Blank temperature Temp: 3.5°C NA❑ <br /> Water-VOA vials have zero headspace/no bubbles? Yes ❑ No❑ NA❑d <br /> Sample labels checked for correct preservation? Yes ❑d No❑ <br /> pH acceptable upon receipt(Metal:<2; Nitrate 353.2/4500NO3: Yes ❑ No❑ NA[V: <br /> <2; 522:<4;218.7:>8)? <br /> UCMR Samples: <br /> pH tested and acceptable upon receipt(200.8::52; 525.3::54; Yes ❑ No❑ NA❑./ <br /> 530:157;541:<3;544: <6.5&7.5)? <br /> Free Chlorine tested and acceptable upon receipt(<O.1 mg/L)? Yes ❑ No❑ NA❑./ <br /> Comments: <br /> Page 17 of 17 <br />